Volunteer - Board of Directors

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Membership Application
Board of Directors
Konocti Senior Support, Inc.

Name of Applicant*

Address*

Phone*

Email Address*

Please describe why you would like to serve on the KSS, Inc. Board:*

Will you be able to attend the Monthly Board meetings?*

YesNo

Do you have a specific interest in any particular part of our program?*

Please list professional background, technical expertise or specific skills you can bring to KSS, Inc. Board.*

Please list any volunteer Board on which you have served. Please include: Name, Years served, Position held, Active (Y/N)*

Please check if you available to serve on any of these committees?*

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